Gallstones and Cholecystitis - Signs, Symptoms And Treatment
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- Опубликовано: 25 сен 2018
- In this episode the surgeons interview a guest General Surgeon. Gallbladder disease is discussed including gallbladder surgery.
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I just got my gallbladder taken out yesterday, it was a fast procedure and a very common one. The first two days you feel soar and in some pain. The gas pain you feel it accumulate into your neck and shoulders. Been on liquids only and Been able to tolerate it without nauseous or vomiting.. Overall it's been everything I imagine with an organ being gone. Time heals I hope everyone out there having attacks goes to the Dr. And take lead on your health. The world needs the best of you, so start with your health.
Totally agree
I was misdiagnosed for almost 2 years. My provider left the practice and I had a new Doc and the first thing he did was an ultrasound. Hello gallstones. I see a surgeon in a couple of weeks. I think the pain was worse than my labor!!! Thanks for doing these informational videos.
Had 3 attacks in the past 3 weeks…the pain starts in my stomach and radiates to my back…so much pain!!! I’m scheduled to meet with a surgeon tomorrow. This video helped calm my fears…never have had surgery in my 55 years.🙏🏻🙏🏻
Glad to hear it Lisa. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
Im going through the same had 8 attacks and still doctors doing nothing
@@TalkingWithDocs im still in pain feel sick
@@aneelaraomakeupartist9615 how old are you, I’m 22 and I have gallstones ,
I have this and I want to find out if I have this cause is very recurrent attacks . I need answers .
Thank for not dodging the questions we really wanted answers to! Excellent content.
Glad you liked it Melissa. Thanks for watching and subscribing
My MRI is showing a mass in my gallbladder. I’ve been getting intermittent pain up high in my abdomen. My surgeon said I need my gallbladder removed. I’ve been watching your videos on a variety of subjects. I think they’re really great.
Worst pain I'd ever experienced in my life. Wouldn't wish it on anyone.
Hi Fozia. Hopefully you are better now. Thanks for watching and subscribing if you did.
@@TalkingWithDocs Thanks for your response. I am much better, thank you.🙏🏿 You've gained yourself a new sub😊
Agreed, the pain is excruciating.
Agreed with the pain…very bad I ignored it in the beginning of the week thought I was sick but then a day later it came back worst and went to the ER. Worst pain I have felt my entire life
That pain is the worst I would sweat and get the chills
I have had 3 gallbladdar episodes with severe pain and sudden onset; it felt worse than my miscarriage years ago. I am getting ready to have it removed soon. Thank you for your encouraging discussion.
Good luck Gloria. Thanks for watching and subscribing
Percutaneous endoscopic gallstone removal is a non-surgical technique that preserves the gallbladder by removing the stones through the tract using different methods. There may also be stones in the bile ducts, known as choledocholithiasis, that can also be removed
Great video docs! Had my gull bladder surgery 10 years ago I understand what everyone went threw. Thanks for sharing!!
Very welcome Alida. Thanks for watching and subscribing
Great work fellas. As a gall stone sufferer, this was great info!
Hi Marcello. Thanks for the positive feedback and for watching our channel.
3days after i came home from hospital when my gallbladder was tooken out, i now have bloody diarrhea with every bowel movement. Is this a symptom? Its only been 2wks today.. Please comment??
@@TalkingWithDocs 3days after i came home from hospital when my gallbladder was tooken out, i now have bloody diarrhea with every bowel movement. Is this a symptom? Its only been 2wks today.. Please comment??
For anyone waiting for surgery when the attack first starts get on your hands and knees (I would do it on my bed) then drop down your arms so your shoulders are on the bed and your butt is in the air and lay there for a few minutes. Sometimes I was able to pop the stone out of where it was caught and end the pain immediately. I'd say for me this helped 50% of the time which was great as my surgery kept getting cancelled and I had to go to the ER a couple of times. That pain is unbelievable! But when the stone pops out its like someone just flipped a switch and the pain is gone for the time being. I hope this can help others like it helped me. Great videos doctors! Too funny sometimes. :-D
3days after i came home from hospital when my gallbladder was tooken out, i now have bloody diarrhea with every bowel movement. Is this a symptom? Its only been 2wks today.. Please comment??
Thanks for sharing. Thanks for watching and subscribing
@@skin1418 are u still bleeding
@@jamesscherbenske9354 no. It stopped
@@skin1418 how are you now? I’m in a dilemma about surgery. They recently found one 1cm gallstone in my gallbladder. I haven’t set a surgery date, but thinking on it after my appt.
I cried about it for 1.5 years before they really did a proper CT scan and found gallstones. Its really bad pain after fatty or acidic food. My surgery took 3 hours because they were really careful and my GB was squished way into the corner of the ribcage. You'll have either yellow stones or black stones. My life became 100x better after getting them out.
I'm happy you're not crying any more !
I know the pain is intense !
Great video and explanation on issues with the gallbladder. I was just diagnosed with gallstones and awaiting for an appointment with the surgeon. I have experiencing periodic pain with one visit to the ER. After listening to your video I will be electing to have surgery.
Wishing you all the best Mike
Thanks for the information!
Any time Nexas! Thanks for watching, subscribing and sharing with someone if you did.
I had my gall bladder out 22 years ago at age 36. My Dr. did not think it was serious and did not want to refer me to a specialist. Ultimately I ended up in the hospital with pancreatitis. That was a lesson in being my own health advocate. There has been one side effect for me: I don't tolerate fatty foods very well. I have to be careful with what I eat. This is probably a good thing as my diet is healthier as a result. Also, it has been determined that there is a slightly higher risk of colon cancer in people who have had their gallbladder removed. Just another reason to get that colonoscopy. Thank you for the video, I wish it had been available when I was sick, would have saved me a lot of pain.
Hi David. Glad you are ok. Thanks for watching and subscribing
What if yoy get lipase enzyme to digest fat. Omg we need fat for vit D .A .E .
Hey are you okay ?
Been having attacks off and on for almost two years now. Doctors kept misdiagnosing me. Had to keep getting second opinions. Finally got an ultra sound this morning that revealed I have gallstones. Now I've been recommended to have a HIDA scan done. The flare ups from these attacks are so painful, and I've gone through them with no pain meds. Never thought I have something called biliary colic, but here I am. Can't wait for this pain and issue to be over with. Thanks for the video,
jeez i just got the news today that i have gall stones, my attacks usually last 12 hours. its extremely painful
@@emxsle yes very painful. They said I needed to get my gallbladder taken out, and now they're saying it could be a blockage, my pancreas, or my liver. I've been waiting all day for them to transfer me to a hospital out of town for further tests and treatment. The surgeon had me on the edge of my seat saying if I would've stayed home that it would've been life and death within a few days. It's been a long, confusing, and emotional day. Good luck to you on your treatment.
@@MzGumby02 i’m glad i went , my mom practically begged me to see a doctor but i kept refusing and then i gave in. i assumed it was indigestion, but oh boy was i wrong. and thank you, i hope you’re recovery goes well too!
Hi MzGumby02. Very welcome. Hopefully the HIDA scan gets you a firm diagnosis and eventual treatment. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.
Good luck emii. Thanks for watching, subscribing and sharing with someone if you did.
Thank you for the video,great explaination.
Very welcome Suzanne. Thanks for watching and subscribing
Thank you very much for helping us to understand more about medical conditions that may or do affect some of us. None of us want to be ignorant of how to stay healthy! 🧡
Very welcome Sooz. Thanks for watching and subscribing
Got my gallbladder removed last week. I'm day 5 of recovery and so far so good. The post op poopoo train trips aren't fun. But my surgeon said that should settle down. Pain wise it's NOTHING compared to an attack or my recent trip to hospital for acute pancreatitis.
Thank you so much for sharing your experience Behind The Bookshelf. All the best during your recovery. Thanks for watching, subscribing and sharing with someone if you did.
Hi, I had acute pancreas and had to spend 3 days in hospital on IVs. Then I did surgery to remove gall bladder 3 days back leproscopically.
How are you doing now, physically activity and diet wise?
Hi, I also have gallstone and docs said I need to remove it, after removing it can you eat whatever you want? Is anything change when digesting food ?
@@epicwatchme8750 hi , I am about 10 days in after surgery ... I am currently on a vegetarian diet and doing ok I have also started milk , milk products , coffee.
In another 20 days I will give some chicken a try . Per my surgery it all should be OK in 1 months....
3days after i came home from hospital when my gallbladder was tooken out, i now have bloody diarrhea with every bowel movement. Is this a symptom? Its only been 2wks today.. Please comment??
I had gallstone pain for months and ignored it (usually after eating heavy meals). On a point to note, it was in the centre underneath my breastbone, the pain was never on the right hand side. It felt like a lot of intense pressure building up that would suddenly disappear. Anyway, I ignored it too long. Ended up with severe acute pancreatitis, cholangitis, and a couple of other organ infections/complications (and a lot of pain). Long story short, I was lucky with no lasting damage. Am still recovering from surgery but am on the mend. Bowel movements are still a lil odd 3 weeks later but are settling down now. I would recommend you get your gallstones seen too sooner rather than later.
Thanks so much for sharing
How do you get diagnosis at ER ? I’m in a lot of pain
Mine was the same not on the side in the middle thought it was acid reflux
Severe acute pancreatitis sounds scary but thank goodness you got this surgery done to solve this.
I've been looking for somebody to explain their symptoms for weeks and finally I can say I feel exactly the same. I am struggling right now to the point it's starting to affect me mentally and I feel food is my enemy at the moment as I can't tolerate the pain after I eat. Like you, the pain is at the centre never on the side. I have an ultrasound scan coming up but I doubt they'll find anything as I've had one done in the past but I can hope. Please would you be able to let me know how you were diagnosed before you had surgery? Thank you in advance.
Thank you its been a very interesting show
Thanks for the explanation doc..
Welcome
Three times I had to go to the ER, because the pain was so severe. I heard a woman once say it was worse than childbirth. I'm just happy i had my gall bladder removed. I've had no issues with eating or my bowel movements since.
Glad to hear it Brad. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs 3days after i came home from hospital when my gallbladder was tooken out, i now have bloody diarrhea with every bowel movement. Is this a symptom? Its only been 2wks today.. Please comment??
@@skin1418 call your doctor asap
Definitely not worse but kinda similar pain. Imo birth hurts way more
@@skin1418 How are you doing now? Any symptoms? Did you go back to your normal life after surgery?
Straight to the point and very informative. Thank you!
Glad you liked it R D. Thanks for watching and subscribing
Very well said doctors thank you
Very welcome Mercedes! Hope you are ok. Thanks for watching, subscribing and sharing with someone if you did.
Thank you doc
For educating us
Very welcome Antonia. Thanks for watching and subscribing
Thank you for the informative video and for hitting the basic questions which are often asked; with that said, my questions are regarding anesthesia and a pt who might experience irregular HR regularly. How would you approach that situation when surgery is necessary?
Hi Vegan Cenobite. You would be seen by the anesthetist and if they were concerned preoperatively you would see a cardiologist but you would have an EKG monitor on during the procedure to monitor your rate and rhythm. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Thanks for the reply!
I just had my gallbladder remove yesterday 5/12/2022 a I have afib irregular heartbeat. Let your anesthesiology worry about that....you will be fine
Oh mine...My first gallbladder attack lasted 12 hours. It's the kind of pain that would make a person beg for heavenly help. I was scheduled for surgery but the stone moved to duodenum and doctor at Huddinge hospital in Stockholm was able to removed it through my throat. I have no recollection of this procedure because i was sedated. Don't know the right word for it - general anesthesia?
What is the stone removal procedure called? Is it common?
Regards
J.
Hello to Sweden ID-8491! So sometimes this would typically be done with sedation rather than general anesthesia. It may have been grabbed with a gastroscope where a camera is put down your throat, through your stomach and then into the first segment of the small intestine. It is not particularly common but in some patients the stone would move down the colon. Glad you are OK. Thanks for watching, subscribing and sharing with someone if you did.
Great video thanks 🙏
Very welcome CAPTAIN. Thanks for watching and subscribing if you did
I am in middle of the start of an attack right now and it hurts so much, but this video is making me so excited for a surgery since I already have bowl movement very frequent
Hope it all works out Ashlyn. Thanks for watching and subscribing
these attacks are one of the worst pains i’ve felt. i’m supposed to be getting the surgery this week to finally get it removed, i literally do not wish this upon anyone.
update: i had my surgery August 12th, it honestly hurt pretty bad once i woke up and on the second day i reacted really bad to the anesthesia and threw up multiple times. after that was over, i felt better. didn’t eat for 3 days though. after around a week and a half my pain was completely gone!
Good luck emii! Thanks for watching and subscribing if you did
Agree. I myself couldn’t handle the pain. I ignored the pain beginning of the week because it went away but a day later oh wow a pain I will never ever forget. So far so good 5 days post op
@@javiermeraz5289 i cant wait to have my surgery to be honest, i’m nervous but i also will be so relieved. this is one of the worst pains i’ve ever experienced, my attacks last hours on end. glad to hear you’re doing well though! overall, do you remember anything from the surgery? like how painful was it when you woke up? that’s what i’m most nervous for
@@emxsle well I rermember going the emergency room the doctor considered me young and healthy I thought I was just going to be given medicine but no. They did give me a pill for pain nut that didn’t help but glad that they injected me with morphine that definitely stopped the pain and was admitted immediately to the hospital. I was scared I will be honest as I’ve never had a surgery. Don’t be scared though for me when I was taken to the pre op room the anesthesiologist injected me with something and once I was taken to the operating room all I remember was them putting me in the operating table and that’s it. I slept the whole thing. When you wake up there is pain but they will control it. Mine was very well controlled for the night and morning with morphine. It’s kind of difficult to get up and walk the day after surgery. But I would say it gets better as I started walking normal in 3 days and no pain. I was given pain medicine to take home but I haven’t taken a single one because there’s no pain. Again everyone is different and don’t be scared everything will be alright. If it matters I was at Harbor UCLA Medical Center.
@@emxsle hi, how are you now after surgery?? How many days after you took food after operation?? What is your food diet?? Do you take all food now? Your reply helps.
Had mine removed in January and the gallbladder attacks where the worst pain that I’ve ever felt in my life I wouldn’t wish it on my worst enemy.
Glad you are ok now Rebekah. Thanks for watching and subscribing if you did
Yup.....i would rather get shot to the heart and die on the spot than to go through that pain again
Thanks for your information
Very welcome Sunflower. Thanks for watching and subscribing
Love your videos
I started to have really bad stomach problems about 1 month after giving birth. Throughout my 2 pregnancies I suffered from cholestasis (which my OB would tell me to get my liver check later in life). After birth, my abdominal pain got so severe that I ended up in the ER. At first I thought it was bc I had one ibuprofen tablet on a semi empty stomach. They did an ultrasound and confirmed gallstones. The ultrasounds tech even mention that my pancreas is slightly inflamed. My question is, if you develop cholestasis does that mean that you’ll have gallbladder attacks? I’m now scheduled to have my gallbladder removed next week.
Hi Ivette. So the presence of stones alone does not mean you have attacks but it means you could. Good luck next week. Thanks for watching and subscribing if you did
I’ve had a pressure / dull ache like feeling just under my right rib for about 3 weeks now. The pain is a 3/10 but on an evening moves round to my back and continues with the dull ache. I’m getting an ultrasound booked in with my doctor ASAP but I was just wondering does early signs of gallstones always have to be a severe pain or can it be a dull pain? I’m only 28 and I have no other serious symptoms such as vomiting, change is stool etc
Hi Chris. Symptoms can vary. It may be gallstones or stomach or liver or kidney etc. Get the ultrasound. Thanks for watching, subscribing and sharing with someone if you did.
Hi, I have had same symptoms as you. Did you manage to book your ultrasound? Hope it went well
Very well said thank you
Very welcome Mercedes. Thanks for watching and subscribing
These are `my guys.' All good work. Very appreciated.
Hi Dan. Thanks so much for the positive feedback. We will keep doing our best to provide as much useful information for patients as we can for as long as we can.
This helps calm my fears. I been in excruciating pain the last few weeks and sick on top of that (not Covid), and I’m getting checked for my gallbladder tomorrow. I have all symptoms and I haven’t eaten in 3 days in fear of throwing up and being weaker. I’m confident it’s my gallbladder. Thank you for the informative video(:
Very welcome Maria. Good luck. Thanks for watching and subscribing
Two years pain,sickness,nausea and sweating soaking wet.dr said not gallbladder yet they knew I had stones.l was bedridden dizzy,sick itchy skin.l had been told no surgery and I didn’t want an op and wasn’t told I needed one.l was same got worse Sepsis and scans and ERCP. Bile ducts blocked over 15 stones and sludge.for weeks after I felt better then it started again and I’ve been told operation but that’s nearly year ago.11 boxes antibiotics I’m sick of it.my bile duct was cut so it would drain so why iam still symptomatic.y
Hi docs,
I'm pregnant, just peeking into 2nd trimester. I've been having attacks on off since last year, but only recently was I offered surgery. I've no fevers, but I'm in constant pain, and I have sick days at work from not being able to breathe properly due to pain. Pain meds do nothing. What is your opinion on getting the surgery while pregnant?
I'm afraid the anastesia might harm my child.
Thank you.
Hi Anne. Sorry to hear that. This is something best discussed with your anesthetist and your OBG. Best of luck to you. Thanks for watching and subscribing if you did
Watching these are the highlight of my day which leaves me utterly convinced that I was most certainly an MD in my previous life 😂
Hi Becky That girl. Ha maybe you were. We are just so glad that you enjoy them. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs liked, shared and subscribed! be blessed fellas 😀
3days after i came home from hospital when my gallbladder was tooken out, i now have bloody diarrhea with every bowel movement. Is this a symptom? Its only been 2wks today.. Please comment??
I have been having painful back pain. Went to physical therapy and the pain mildly improved. It was difficult to bend and hard to get up. Went for a CT scan for my back and surprising one of the results was gallbladder removal. I did not have any pain on the right side. It is kind of scary. I will ask my doctor if the back pain was an actual symptom of the gallbladder issue.
had my surgery last week, recovering fine 🙂!
Very nice Vince. All the best. Thanks for watching and subscribing if you did
How was the pain in the first two days?
I had a gallbladder attack and had my gallbladder removed about 30 years ago, this was after going on a liquid diet and I was told that is what caused the problem. My gallbladder was completely stone, nurses and doctors came to my room to check it out, looked like the shape of a small egg. Gross, but I still have it in a jar. In those days I had to be cut open, now however it's so much easier to get it removed. The only thing now is after the surgery I cannot eat pancakes or a donut without getting sick, which isn't a bad thing as I surely do not need either of those things and no more diets, I try to eat healthy now, and watch calories when I need to drop weight.
Hi rosebud. Thanks for the very interesting story. In a jar? That's crazy. Hope you continue to do well and yes, you will have challenges potentially with more fatty meals without a gallbladder. All the best and thanks for watching.
Oh, no, I started experiencing pain here and there in the gallbladder area after starting a liquid diet. Haven't had it checked out yet but more recently I have had some pain in my side and back. Do you know if back pain in the middle part of the back, like at the bottom of the ribs on the right is a sign? I keep reading that it's usually more in the upper shoulder blade area. Also, my pain seems to come and go with movement/ how I'm sitting. I just can't tell whether this is an organ issue or a muscle/rib issue.
@@blissfuljoy6049 Yes, my pain was on the right side of my abdomen and the back, above the waistband of my pants. If I rested and did not eat anything at all, it would slowly go away. Felt like someone punched me in my abdomen and the same with the back. Then it started coming more often until one time the pain was just awful so I ended up in the Emergency room. My husband had his out several years ago and they made three small cuts on his abdomen and took his out, he has no problems and eats anything he wants now. I still have to watch what I eat as I get sick to my stomach with heavy foods, like pancakes. But yes, your pain does sound like gallbladder, have it checked out for sure. Hope this was helpful
@@rosebudwilson8200 thank you for responding! I will definitely make an appointment.
@@TalkingWithDocs 3days after i came home from hospital when my gallbladder was tooken out, i now have bloody diarrhea with every bowel movement. Is this a symptom? Its only been 2wks today.. Please comment??
On september 4th I had emergency call bladder removal the movies the videos was very helpful tonigit's very helpful to know what layman's term my term my recovery love the video thumbs up
Glad we could help Olethea. Best of luck during your recovery. Thanks for watching, subscribing and sharing with someone if you did.
Had my gallbladder out six years ago , and at the time couldn't eat anything do to the pain. I had the bile at 85 percent in my blood the doctor was so worried he called me at home in the evening. I had passed out the day before I went to see the doctor and they called the ambulance. They never found stones that I'm aware of. I never want to live through that again. I was diagnosed in Oct but didn't get in until Feb, lost 20 lbs in the process but now can eat anything I want. Cheers .
.
Wow David. Thanks for sharing your story. Thanks for watching and subscribing if you did
I just got up off the floor in a cold sweat, after puking and severe pain in my stomach! Felt like I was going to pass out! This has happened several times now but weeks in between!
Go to the doctor Kathleen! Hope you are ok. Thanks for watching and subscribing if you did
Go to dr
The best thing I ever did was get mine taking out. Had problems with mine since I was 4 years old.
Hi Barbara. Thanks for sharing and glad to hear you are happy living without a gallbladder! Thanks for watching.
How are those blowouts?
@@jodiehighroller9820 ??? Blowouts?
@@barbarafairchild613 you mean to say your shits aren’t explosive
Hi docs. Question.. instead of having hypotension. My systolic stayed high until 3-4 days post-op. Diastolic was normal.. my everyday B/P is normal 130/78. Thank you! Just curious as to why?
Hi TM159. Hard to say. There are so many factors that affect your blood pressure. Sometimes it is pain. Thanks for watching, subscribing and sharing with someone if you did.
Thanks for this video, it's quite informative. I was hesitating about undergoing the surgery and continue living with my pain. I think I have more information now to help me decide.
Glad we could help Guess Wonder. Thanks for watching and subscribing if you did
Did u get it out
Starting getting bloating and abdominal pain about two years ago totally out of the blue. Thought it was bad acid reflux. Has happened about 6-7 times since every 2-3 months it seems. Very random, but definitely after a meal. Stomach pain and bloating; however nausea and vomiting only occurs only after I lay down for bed. Last episode was this past Wednesday. Pain started at noon and was manageable most of the day; however when I went to bed it became excruciating. Vomited 4-5X with no relief. My family doctor said it is probably acid reflux and prescribed ranitidine a few weeks ago, but I'm certain it's something more. What I don't get is why is it so random.
Hard to say swine cup. Maybe start with an ultrasound to check the old gallbladder out. Thanks for watching and subscribing if you did
Stone ridge it's self into her gallbladder duct now the pain she use to have is worst they went and did another surgery but they still didn't get it all out so she still had more attacks twice the EMT was called, because it's so severed. There seems to be less experience well educated doctors out there now days.
My daughter had her gallbladder removed after her baby was born, apparently there was one stone that ridged into her duct and no doctor is out there that can help her. She has had 3 severed attacks having to call the EMT to take her in as she sits in the hospital hoping they can help her, doctors are helpless or are not well educated now days.
How are you doing now????
This is the comment I was looking for…. It’s 5:20am and I’m feeling the same way you were now. Calling my doctor first thing this morning. Thanks for sharing ❤
Thank you for this info! Is there an alternative to having your entire gall bladder removed? Isn’t it possible to remove the stones without removing the entire organ?
Not really Jeanine. If a stone is stuck in the common bile duct you can potentially retrieve it with an ERCP but sometimes the gallbladder just needs to come out. Good luck. Thanks for watching and subscribing if you did
Look into Andreas Moritz
Absolutely. Just don't expect to get that kind of input from the "cut, burn, and drug dispensing" agents of Big Pharma-Big Medicine. They aren't qualified to give you any other advice but one that fits their paradigm. Take time to do your own research. There are other options that work and allow you to keep your gallbladder.
I used to have a ton of painful gall bladder attacks after having my son and than they completely went away! So I’m guessing it was a hormonal thing. My guess is that a lot of times for woman attacks will go away after the postpartum period.
There is an instrument made by Boston Scientific called SpyGlass that some doctors use to blast the stones with a laser or retrieve them. I'm still trying to determine if it can be used with gallstones or only with stones that have left the gallbladder and are blocking a duct. Worth looking into though.
I am having my surgery on may 11th and omg I can’t wait. I have gone to urgent care and emergency room because of the pain once. This is legit the worst pain I’ve ever experienced.
You’ve got this Jaci!
Excellent video - as your videos always are. I am just retired as a General and Trauma surgeon (boy, do I miss it). GB tx can be involved as we know. In the ICU w pts who have acute GB disease and other do not qualify for Gen Anesth. I do these under local anesth after U/S location and marking thru a 3 cm incision over the GB site. After ID the GB is tacked to the peritoneum opened, drained, and using a 90 degree GU scope all stones are removed, followed by a contrast cholangiogram. Mallecot cath inserted and 4-5 day repeat cystocholangiogram repeated. All severely ill pts have done well and w the recurrence rate of stones at 10%/year they have been moved into a higher survival category. Amen.
That is wild Dr Carl! Thanks for watching and subscribing
Interesting! This was my question- is it possible to open the GB, remove the stones, stitch it back up and then have pt go on their merry ways, or will they still experience pain/stones? Asking for myself.
I’m 49, fair skinned, fertile and fat (sedentary to to joint pain) and have primary Sjögren’s syndrome. For the past three years, I’ve gotten severe epigastric pain radiating to my back and shoulders, have consistently had low lipase, and intermittently get diaphoresis and hypoglycemic events. I do have episodes of pale-stools, as well. I also have kidney stones. Had a HIDA scan which reproduced symptoms at the end but radiologist said it looked normal. Found no stones. Pancreas looked normal (although tail was blocked by gas). Sometimes I get bloating and belching and feeling full with very little food. Been trying to eat better for HTN but was stressed and tired and came home after work and ended up in the ER due to excruciating pain (some angina and nausea, as well) after eating two small pieces of breakfast pizza (biscuit crust, white gravy, cheese, sausage and scrambled eggs with a splash of hot sauce). I had even just taken a morphine pill to help with joint pain while sleeping and the pain was so bad, I was about to call an ambulance. Dr. came in, ran labs, took a UA and called it gallstones/ biliary colic. Now scheduled for an US.
How do you determine the difference between pancreatitis or cholecystitis, or does one stimulate/exacerbate the other? Any tips? Thanks in advance for your help! Thank you to all of the surgeons out there who help ppl live better lives! ❤️
Forgot to mention that I get palpitations and muscle cramps so badly that I get tetany.
Hi Doc anyway you can be reach for private consultation
This past June I had the cholecystectomy and they removed my gallbladder. After the surgery at home I experienced terrible pain in my right shoulder and excruciating pain under my right ribs. After a scan they inserted a nasal tube to my stomach and transferred me to a surgical hospital with a diagnosis of dilated bowel in upper abdomen with pneumoperitoneum with a perforated viscus, gastric volvulus. After more scans with contrast the surgeon on duty determined that surgery was not required and the stomach returned to it normal position, the gastric volvulus secondary to the recent insufflation. I continued have belching, constipation and bloating 6mos after the surgery. Is this to be expected and will these symptoms continue? I am 71 Yrs, weight 106, fit and 5'1" no previous stomach problems or difficulties with Laparoscopic surgery, endoscopy. The surgeon who operated cannot account for the complications which leaves me a bit worried.
Hi Nancy. It is hard to say. Hopefully it does not continue. If concerned a second opinion would be reasonable. Best of luck. Thanks for watching and subscribing if you did
3days after i came home from hospital when my gallbladder was tooken out, i now have bloody diarrhea with every bowel movement. Is this a symptom? Its only been 2wks today.. Please comment??
Thank you so much for this, I’m just starting on my journey. All I need to know at the moment was that get the gall bladder out and get back to normal. I’ve had very mild symptoms over the years, but was never diagnosed, until today. Ta!
Good luck Graham. Thanks for watching, subscribing and sharing with someone if you did
What were your symptoms?
I've currently experienced mild symptoms like bloating, pale/inconsistent stools, gas. All seemed mild except for jaundice, which really scared me into getting surgery. I haven't had much pain at all other than some discomfort but now I'm going in for surgery this coming up monday.
Hi! I have aches under the ribs, which is brought on by food, beer or stress, or a combination. I had an ultrasound after my original comment, which actually showed no gallstones. Maybe I had one and it passed through, not sure. Might be IBS. Hopefully the doc will enlighten me. Omeprazole helped, but Buscopan really helps, it’s wonder stuff.
Good luck with your op, hope it helps you to get back to as normal as possible!
@@grumbirky 1 week after the surgery! Feeling great so far!
@@ChaserTech what happened with your pale stools? So you had no stones stucked in ducts outside the gallbladder?
I like what the last Dr. said, "you are in charge of your own health." That we know, it's just that most don't want to take responsibility...Thanks for video! 😀
For sure
Hi Guys, great video. Have been experiencing on and off again pain in abdomen mainly upper for about a month now. Just had an ultrasound and found a 1.5mm galstone! Bad news, but happy I might’ve found a cause of the pain.
Doctor recommends ruling out other causes before going for surgery.
Is this a big size galstone? And also, are there ways of getting rid of it without surgery? Thanks
Hi James. Wow, that is a fair size. There is no real way to deal with that other than surgery. Sometimes if gallstones get stuck in the common bile duct you can have an ERCP and they can grab it through a camera but that is pretty big. Good luck to you. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocsHow is 1.5 mm big?
I’ve been experiencing pain in my lower right to upper right abdomen, my stool has changed, I’m farting and burping a lot, I’ve lost weight, not loads but it might be because I don’t want eat anything cause of the pain. I had a massive pain in my right side the other day and couldn’t breath all day. And throughout this my stomach has been gurgling soooo loudly, This has been going on for over a month now, my mental health is all over the place as I’m that worried. I’ve had bloods done and a stool sample done, all came back fine. Apart from my cholesterol being really high. The doctor has sent off for a ultrasound but it’s taking to long so he’s doing a ct scan for me. I don’t know if it’s gallstones but it seems like it might be!
Hi Lost boy Ash. It may be. The CT should help with the diagnosis. You also may require colonoscopy. Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.
Hi, I have very similar symptoms. Did you ever figure out the cause?
Thanks :) How do I prevent it from forming stones. I watched a video that says if the bile in the gallbladder isn't used ( not emptied enough? ) over the years, it will continue to collect and thicken to sludge. More years down thw road, it will then form into gallstones. I hear many explanations and would be great to hear from the surgeons about prevention before the symptoms. Thanks so much.
I was diagnosed with gallstones about 4-5 years ago. Had my first gallbladder attack that led me to go to urgent care and they said I had gallstones and that I needed surgery to remove it but I decided to hold on and wait. I looked up natural remedies so that I can try to flush the stones on my own. I was good for about a year then after that I started getting more frequent attacks. I scheduled a surgery appointment realizing I’ll just need to take it out. Then on day of surgery I was sick doctors had to postpone surgery. A few days later my 7 year old son was diagnosed with a serious genetic heart condition and was told to get checked out before surgery just to be safe and so I went to cardiologist. Doctors said I’m ok I don’t have the condition but I can get it in the long run. During this time many months have passed and I have had multiple attacks over and over and then one day which was last week since Sunday I’ve had repeated gallbladder attacks daily for about 4 days. I called the surgeon to schedule me for appointment and I’m scheduled for the 8 of January. These past two to 3 days I’ve been ok no pain but now all of a sudden I got chills and low fever and body aches. I’m wondering if it’s the gallbladder infected or if I’m getting sick with a cold since my kids were sick too with fever. It’s 2 in the morning and I’m very scared that I might have a gallbladder infection. Weird thing is I’m not in pain. Just a little discomfort from gallbladder. I’m not in excruciating pain. Could you have a gallbladder infection and no pain? Or do you usually have the excruciating pain that accompanies fever? I just took Tylenol for the fever but I’m having so much anxiety. I’m thinking of going to the hospital early in the morning and see what they say. I’m afraid Ill have emergency surgery tomorrow 😥😥
Had removed 20 years ago. Side effects: Diarrhea at least once a week and migraines from processed food.
Yes there are some consequences for sure TomT. Thanks for watching, subscribing and sharing with someone if you did.
when i was having my gallbladder pain, i was about 25 weeks pregnant. i couldn’t do anything other than wait it out until my son was 37 weeks because i would’ve had to do the large incision under my ribcage with him still in my belly and that was way too risky for me to go through with. i was in the hospital probably 3 times a week at least for pain and i had pancreatitis 4 times and had to be hospitalized for about 3 days each time only allowed a liquid diet and jello the entire time. no matter what foods i avoided and no matter what i did it would still flare up just because of my growing baby. i would vomit violently every time and nothing would help. it felt like i couldn’t breathe and i thought i was dying when it first happened. they induced me at 37 weeks 5 days and i had my gallbladder removed 6 days after giving birth. the recovery in hospital for 4 days was absolutely horrible. i couldn’t be with my baby or my husband and i was in excruciating pain given the fact that i had just had my baby a week before. i’m so much better now and so grateful for my surgeons. i still get some pain and cramping 6 months later but it usually goes away within a few minutes.
Wow neve that is a difficult story. Glad you are ok now. Thanks for watching and subscribing
Docs you are the best
Thanks so much Hersi. Thanks for watching and subscribing
Wowww. This answered my many puzzling questions.
Glad we could help Sheilla. Thanks for watching and subscribing if you did
I had Acute Cholecystitis. It was terrible. Perforated my pancreas. 5 hr surgery, ICU for the night , 7 days in hospital. Worst pain ever. I will say I had zero symptoms until the evening of the major attack.
Thank God for surgery. 1 yr post OP still have gastrointestinal issues if eating foods that are oily .
Hi Dom. Sorry for the delayed response. That is very scary. Glad to hear you are improving now. And thanks for sharing your story, gallbladder disease can get very serious very quickly. Take care. Thanks for watching and subscribing if you did.
Wow. I am sorry to hear that . Hope you are doing well now... tc
I was glad a friend called in and made me go to the ER. I was writhing in agony, flushing hot and cold. Given scans and took out gall bladder. Which I was told after was necrotic. Only one significant gallstone but stuck in the duct and a massive infection. I was able to have keyhole surgery because the gall bladder was still intact, but could easily have burst spreading the infection.
Back to Uni for you 3 !! I have had stones for years and live with them. They eventually make their way out if they get large but I would never lose my gall bladder unless I was on deaths door. Even then I'd think about it.
Hi Annette. Some stones simply cannot pass and lead to chronic inflammation of the gallbladder. If you can avoid surgery, always the preferred choice but often unavoidable. Keep on trucking Annette. Thanks for watching, subscribing and sharing with someone if you did.
Hi Annette, I am glad u didn’t remove ur gallbladder. I was diagnosed too I did Andreas mortiz method it worked. Surgery is not option. There’s away to cure with natural remedies. Tc
@@sophiasaleh1705 My stones are always the pure yellow cholesterol type, big and square lol. When I am in pain, which isn't often, I do the pressure exercises and then lie with a hot water bottle under my liver and gall bladder. They soften and pass easily. Please excuse the graphic details here but it's necessary. Once they have passed through the system they seem to meld together again in a big lump in the anal area and are stuck like a Cork in a bottle. I always have a plentiful supply of well fitting Good quality surgical gloves and remove the stones by hand. They come apart, square again as soon as removed. I can collect between 12 to 30 stones that way. It's. Not painful getting them out and I get a sense of achievement knowing I did it without intervention.
I am having regular, non invasive Scaler treatment which costs a out $69 per month and it's. Amazing. It has changed the way my stones leave the gallbladder from agonising to pain free. If you are interested take a look at scalerlight.com / digestive Enzyme. I am not a scientist and don't. Begin to understand scalar treatment but I know it's suppressed Teslar treatment and it works!!!!! Please note that I am not paid for saying this. I came across Tom Poladino and his scalar work and my life was changed.
God Bless all💗💗💗
@@morkcallingorsonmorkcallin3411 wow
Until a stone is stuck in the duct and the bile builds up and leads to a massive infection leaving the gallbladder as a gangrenous mass at risk of bursting.... And I only had one significant stone, just got stuck.
Thank you for this video. My gallbladder is full and i am awaiting emergency surgery. The pain in my lower abdomen and middle of my stomach is dreadful! I get terrible chills and morning diarrhoea. I have become peskiterian and im eating small healthy meals. What do i take to releive the middle of my tummy? I have tried everything. And is it normal to feel a lot of discomfort in your body? I feel very jumpy
I am scheduled for surgery in three weeks. I have the typical RUQ pain but it occasionally will run the length of my rib cage almost to my hip. Might my appendix be bad too?
Hard to say William. There certainly can be some generalized pain as well. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
It’s my schedule next week I’m so scared but watching n ur video feel me calm little bt, I’m smiling when I heard about chicken wings :)
Hi Raquel. Glad we could calm you a little. Best of luck. Thanks for watching and for subscribing if you did.
Research, deep dive bile salts, 𝙖𝙣𝙙 this informational video> 'Should I Remove My Gallbladder If I have Stones?' -
One can never have too much information.🧐🤔🤗
Interesting StarTwigs. Thanks for watching and subscribing if you did
Goodday, what about lazer breaking it up ? Or just removing the stones?
Lithotripsy is not really used for gallstones. More for ureteral stones. Thanks for watching and subscribing
I had gastric bypass 11 weeks ago. Developed constant nausea and then started getting pain shortly after eating that radiates to my back along with what feels like heartburn. My surgeon did an EGD to check out everything regarding my RNY. That looked great. They prescribed carafate to see if that helped it did not. His NP suspected my gallbladder even though pre op it looked great. Had an ultrasound last Thursday. Shows tiny layering stones in the gallbladder lumen along with sludge. Saw the surgeon on Monday scheduled for removal next Thursday. I can't wait. Been living on popsicles and jello since the weekend. Everything else eat causes too much pain. I work in our hospitals anatomical pathology department so I'm definitely asking for them to take a picture of it. I'm curious how mine looks. Also I had no idea that rapid weightloss can cause gallbladder problems.
Good luck next week Danielle! Thanks for watching and subscribing
The recovery for my gallbladder surgery was so much harder than my RNY. I ended up developing infected interabdominal abscesses that had to be drained under image guidance. 30 days of antibiotics and 14 days of antifungals. They have no idea how I developed them since none of the abscesses were located at my near my incision sites. Took about a week and 2 ER visits and 1 over night hospital stay to figure it out. Horrible pain, but no fever or elevated white count so they thought I was faking it. Glad my PCP believed me and got my surgeon to listen. Then about 10 months later had exploratory surgery for gallbladder like pain. Turned out I had adhesions from the gallbladder surgery. Now I'm finally feeling better. With any surgery you just never know if you'll have complications. You can be well prepared and complications can still happen, but keeping my gallbladder would have been much worse.
The complications from Gallbladder removal are far greater than what is mentioned. Your liver has nowhere to store bile so it just spits it into the intestines which over time can aggravate the wall of the intestine and get serious. Surgery should only be done in life or death situation. The stones are generally made of cholesterol so if you up your healthy saturated fats and take bile stimulating things like parsley, dandelion greens, beetroot etc they can help. It takes longer to heal but in the long term keeping your gallbladder is the best thing to do. It's very unfortunate that our medical doctors have been so institutionalized. Stick through the pain and heal your body naturally from the root cause. If you don't fix your lifestyle after Gallbladder removal you can get liver stones, plus the long term symptoms of gallbladder removal are the same symptoms that the faulty gallbladder caused to begin with. Don't give these butchers your organs.
Hi Artist. Thanks for sharing your opinion. We would agree that lifestyle modifications are always preferred but not possible for many. Look around - weight loss strategies are straightforward and society has never been heavier. It’s about choices and often people can’t make the hard choices. Thanks for watching and subscribing if you did
I agree with you I don’t want Surgury but I’m suffering terrible I’m wondering if it’s too late to try these things as my condition has progressed so much I’m bed bound almost every day. Still I think I will buy these things you mention and if you have anymore tips please post thank you and God bless you
I opt to remove my gallbladder as I have a history of cancer (stage 3c ovarian cancer dx in 2012) my surgery is next week
I didn't have many stones but one blocked the bile duct and triggered a massive infection, surgeon said the gall bladder was effective dead. I needed it out, immediately. As well as multiple IV antibiotics (which they don't give out easily) so it is not as simple as eat well. I had previously only had 2 short bouts of pain in that area about a month earlier and not even got to any testing, let alone advice
WRONG
Thanks ji
Excellent video. Very informative. Dealing with this issue right now. Waiting for the HIDA scan. Thanks Dr.'s
Good luck Mark!! Thanks for watching and subscribing
I underwent cholecystectomy four months ago and I almost died due to hematoma. I would have died if not discovered sooner. What are some of the reasons why it was bleeding? Was it not properly sutured (the area which was cut to detach the gallbladder)? Your ideas doc pls. Thanks
I had absolutely no pain, no "attacks".
I had "covid" in 2020. Every time I ate anything, I was immediately needing to induce vomiting to relieve myself of bloating. Intense headache for 3 was while testing positive for "covid".
Still to this day, I am still with same symptoms. 7 days ago I had my gallbladder and the large stones removed.
Hope things get better from here Carol. Thanks for watching and subscribing
I'm awaiting the dr's visit tomorrow to schedule gallbladder surgery asap, had a painful attack a few days ago, and haven't quite felt right since. Nausea off and on. Lifting or moving certain ways seem to trigger the onset of more pains/pressure (I assume it's swollen/inflamed) so I've just been resting in my chair. No fever or jaundice at the moment. I wonder if a bad gallbladder is the cause of my stomach problems that pretty much started out of the blue in early 2019. I read people say and also other dr's say a bad gallbladder can actually be the root cause of a lot of digestive system woes for a lot of people. I guess it's not necessarily a bad thing if I have to give up or reduce very greasy meals. I figure worst comes to worst I can take some ox bile pills and/or digestive enzymes to help break down food in the future.
Best of luck Whitesnake9191. Thanks for watching and subscribing if you did
Thanks
Very welcome Jenn! Glad we could help. Thanks for watching, subscribing and sharing if you did.
Is the surgical procedure similar to kidney stones like lithotripsy? Does anyone know this?
I’ve been waiting for surgery for a couple months. The pain used to be attacks 1-2x a week now there’s a constant pain (not as severe as the attacks). I wish I didn’t have to wait until February to have this removed.
Good luck in February Amberly! Thanks for watching and subscribing if you did
My pain is right below my Sternum bone . Feel bloated and puffy in that area . Very sharp pain feel like indigestion/ gas pain . Does this sound like the Gall Bladder ? I have some gerd in the past, take ometrozone . Have a Haitial hernia too . Usually happens about 9:00 pm .
Can you guys do a segment on sarcoidosis? Thanks!
We can add it to the list for sure Patricia. Maybe with a guest respirologist. Thanks for watching and subscribing if you did
I’m at a loss at this point. Since July now it’s been 10 plus hospital visits/stays and I have pancreatitis and gallstones. My gastroenterologist referred me to a general surgeon and recommended this surgery but I’ve been having to go up and out the way to convince this surgeon how desperately I need this surgery and he just doesn’t seem to want to do it. I just want my life I’m tired of all this suffering. I don’t know what to do anymore.
Best of luck Noah. Sorry to hear you are having a rough time. Thanks for watching and subscribing if you did
Which is the best diagnostic procedure?
Hi Jeannie. Spiral CT or ultrasound usually. Thanks for watching and subscribing
Very good video. I learned a lot. Interesting that bad fats and good fats both stimulate the gall bladder. Question: In addition to the symptoms, what tests do you run to diagnose these diseases of the gall bladder? Thank you.
Hi Words usually ultrasound and possibly a CT. Thanks for watching and subscribing
@@TalkingWithDocs Hi. Ok, thank you!
Thank you for the info but can you talk about also a hyperkinetic gallbladder? This condition is extremely painful and has the same symptoms as a slow or stone filled gallbladder. Thank you!!
Hi Jessica. We can add it to our list for sure. Thanks for watching and subscribing if you did
Thank you!!! Me and many others would so appreciate it. You guys are awesome.
is it possible to have gallstones or gall attacks with no other symptoms but the pain? I don't have fever or vomiting but the pain is just constant and will relent for a bit and then come back again. Right side. In the front it's under my right breast and in the back it's under my right shoulder blade. Saw my doc today who did bloodwork and scheduled me to have an ultrasound done in a few days. If they find stones do they routinely then schedule the surgery? I am so tired of this pain.
I was diagnosed with a gallbladder full of stones a few months ago, I have only had a couple severe attacks with severe abdominal and back pain, but I get a burning upper back pain every night after I go to sleep, when I wake up get up it goes away. Is this normal? I’m concerned I may have a pancreas issue like cancer as I have been fatigued for months and lost 30 pounds in the last few months
In a case presenting with new onset colic, that was diagnosed as sludge as the causative problem and has not formed stones yet, could it be treated with diet change alone?
Hi Christopher. It is hard to say. Diet can certainly improve the symptoms and frequencies of attacks but only time will tell if it will continue to be ok. Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Thank you for the reply, I see the Gastro on the 24th. See what happens. Thanx for the video!
I had my gallbladder removed, but it seems I've developed some pain again underneath my right rib. Someone said it's a gallstone stuck in my bile duct, and it feels almost identical to win I went to the hospital and have my gallbladder removed. It's a pain under my rib that radiates around in my back. It's extremely uncomfortable, what should I do.
Hi Jeffrey. Back to your surgeon. Likely ultrasound or CT. Thanks for watching and subscribing
i had my gallbladder removed the other day due to getting infected. They sent me for an ERCP to remove a stone or stones in the biliary duct. However they weren't able to remove it for some reason and put in a biliary drain. they said i would have it in for 1-2 weeks. My questions is what happens after that, do they try to get the stone again hoping something has changed?
Hi May. Sometimes the drain can decompress the duct and sometimes the stone can come out. They may try to get it again though. Good luck. Thanks for watching and subscribing if you did
I just love your banter with each other. OK I’ve had several ultrasounds they always say they’re sludge in my gallbladder no gallstones. But I get these kind of intense flareups of feeling inflammation pain in right and left shoulder pushing on the abdomen where my gallbladder is seems very sensitive at times. Almost like an appendicitis. I guess although I’ve never had one. You’re definitely right about any fats flaring it up. Would it still be wise to get my gallbladder removed even though it’s not serious it is very uncomfortable annoying and I get some bloating. I also end up with IBS and acid in the Stool.
My sister had gallstones had her bladder removed my aunt gets sludge I don’t know gallbladder seems to run in the family.
Thank you for your time and information.
💃💃💃🤗🙏🏼
Hi Jennifer. Some patients do have it removed for sludge. Best to discuss with your surgeon. Best of luck! Thanks for watching and subscribing
Please do a video on biliary dyskinesia. Thank you!
We will add it to our list for sure Iman. Thanks for watching, subscribing and sharing with someone if you did.
That's what I just got diagnosed with. My ejection fraction is 2%
Marvellous
Great video. Thank you. My HIDA scan showed my gallblader does not empty at any percentage. But my ultrasound showed no stones or issues. I get cramps when I have fatty food. Can you tell me your thoughts please? They are telling me even without a stone, I should have my gallblader removed. Thanks so much
Sometimes that is the case depending on the severity of your symptoms.
I believe im experiencing Biliary Colic symptoms. Is there a surgery to take out the gallstones rather than taking out the gallbladder? Ive read and heard alot of things can happen to your bidy once the gallbladder is taken out. Vision at night can get worse, liver disease, and several other issues. How true are these? Just not a fan of surgeries. Any comforting thoughts? Thank you.
He makes It all sound simple. I was in for a week after surgery & recovery took me quite a while. I was 70 so there's that.
Sorry to hear that Judith
When you use the word surgery, was it in reference to leaving the gallbladder intact, or removing it?
Surgery would remove it
I’ve had dull pain between my shoulder blades for years plus have been waking up at night with pain and nausea. My sonogram showed a stone and I’m waiting to see what will be done about it… tonight, I notice a bit of a rash over the area of the gall bladder
Well good luck to you Kathy. Thanks for watching, subscribing and sharing with someone if you did.
I’ve been having yellow when wiping and gastritis symptoms. I had an upper endoscopy 9 months ago and they found mild gastritis. I’m a 22 year old male with weight loss, nausea upon waking and just recently some mild chest pain occasionally under the armpit but more under my lower ribs, and abdominal discomfort on the left side under the ribs, belching a lot as well. The yellow when wiping makes me think it’s my gallbladder. I had a chest xray and they found nothing. What, if anything, is it most likely to be. Just any indication to set my mind at ease…
So hard to say. If you have pain and weight loss you should be reassessed. An X-ray likely wouldn’t show much but an ultrasound or CT may. Best of luck. Thanks for watching and subscribing
I have been going through the same. many tests later and still no answers. I also get dizzy with heart palpitations. been taking tudca, nac, and went carnivore. zero vegetables. getting better. my guess is biliary sludge, or stones blocking pancreatic duct